Editorial: Handoff improvement: We need to understand what we are trying to fix

Joint Commission Journal on Quality and Patient Safety

Volumn 36, Issue 2, 2010, Pages 51-

  Van Eaton, Erik ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE QUALITY; HUMAN; NOTE; PATIENT CARE; STANDARD; SYSTEM ANALYSIS;

CONTINUITY OF PATIENT CARE; HUMANS; PROCESS ASSESSMENT (HEALTH CARE); WORKFLOW;

EID: 77952318656     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(10)36010-7     Document Type: Editorial

References (11)

1. Horwitz L. I., et al.: What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qual Saf Health Care 18:248-255, Aug. 2009.
2. Arora V., et al.: Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med 22:1751-1755, Dec. 2007.
3. Mukherjee S.: A precarious exchange. N Engl J Med 351:1822-1824, Oct. 28, 2004.
4. Patterson E. S., Wears R. L.: Patient handoffs: Standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf 36:52-61, Feb. 2010.
5. Reason J.: Understanding adverse events: Human factors. Qual Health Care 4:80-89, Jun. 1995.
6. Sutcliffe K. M., Lewton E., Rosenthal M. M.: Communication failures: An insidious contributor to medical mishaps. Acad Med 79:186-194, Feb. 2004.
7. Anderson J., et al.: The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf 36:62-71, Feb. 2010.
8. Nikula R. E.: Why implementing EPR's does not bring about organizational changes: Aqualitative approach. Stud Health Technol Inform 84 (pt. 1):666-669, 2001.
9. Charette R. N.: Why software tails. IEEE Spectrum. Sep. 2005. http://spectrum.ieee.org/computing/software/why-software-fails/(last accessed Dec. 15, 2009).
10. Murphy A. G., Wears R. L.: The medium is the message: Communication and power in sign-outs. Ann Emerg Med 54:379-380, Sep. 2009. Epub Apr. 11, 2009.
11. Cohen P., Sayer B.: Avoiding software development failure. HCi Journal, 2001. http://www.hci.com.au/hcisite2/journal/Avoiding%20software%20development% 20failure.htm (last accessed Dec. 14, 2009).